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UNIVERSITY OF SARGODHA
Admission Form for Pharm-D (5 Years Course) (Annual System)

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Mention Professional___________________
The Candidate must paste here a recent coloured photograph

Regular

Late College
( T i c k t h e

Fresh

Compartment / Failed as a whole


b o x e s )

r e l e v a n t

1. Name of College _______________________________________________ 2. Registration No. University of Sargodha

Do not staple or pin up

3. Name of the Candidate (in block letters)

Form No. __________

4. Candidates N.I.C. No. 5. Fathers Name (in block letters)

6. Religion ________________

7. Nationality ____________

8. Sex (Male or Female)

9. Name of City / Town opted for Centre __________________________________________________ 10.


Information about F.Sc. or equivalent Examination Passed: Examination 1 or 2 Annual
st nd

Year

Roll No.

Marks

Division

Board

Information about Latest Passed Exam: (only for 2 , 3 , 4 & 5 Professional Students) Examination 1 or 2 Annual
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nd

rd

th

th

Year

Roll No.

Marks

University

11. Present Address (in block letters)

_____________________________________________ _____________________________________________

12. Permanent Address (in block letters) 13. Mention Subjects in which to appear

_____________________________________________ _____________________________________________

i. _____________________________ iv. ________________________ vii. __________________________ ii. _____________________________ v. ________________________ viii. __________________________ iii. _____________________________ vi. ________________________ xi. __________________________ xi. _____________________________ xi. ________________________ xii. __________________________

14. For Compartment / Failed as a Whole candidates only (information about the last chance availed) Year of last appearing in Pharm-D _________ Prof. ________ Annual Exam, 200 ___ Under 1st or 2nd Roll No. ______ Declaration: 1. I declare that all the particulars mentioned above are correct and in case of any difficulty arising out of inaccuracy therein, I shall be responsible for the same. 2. I shall not take part in walk out or protest in any paper during the examination.

Signature of the Candidate ___________

Rupees. Rs. 30 www.uos.edu.pk Online downloaded

Signature of Principal With office Stamp

Do Not Print on This Page

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UNIVERSITY OF SARGODHA
ADMISSION FORM
Mention Professional.__________ Mention First Annual or Second Annual Examination 20 ____.
THE CANDIDATE IS DIRECTED TO READ AND COMPLY WITH THE INSTRUCTIONS PRINTED AT PAGE 3 CAREFULLY BEFORE FILLING IN THE ADMISSION FORM. INCOMPLETE ADMISSION FORM SHALL BE REJECTED AND RETURNED FORTHWITH. THE UNIVERSITY SHALL NOT TAKE ANY RESPONSIBILITY FOR THE CONSEQUENCES. PARTICULARS MENTIONED BELOW ARE TO BE FILLED IN BY THE CANDIDATE NEATLY AND LEGIBLY IN HIS / HER OWN HAND WRITING WITH BLUE BALLPOINT / PEN.

Form No.

Online Downloaded

PHARM-D (5 YEARS COURSE) (Annual System)

Paste one attested recent coloured photo Male / Female

1. 2. 3. 4. 5. 6. 7. 8. 9. i). iii). v). vii). ix). xi). 10. 11.

Name of the College ________________________________________ Registration No. _________________________

Name of the Candidate in English __________________________________________________ (Block Letters) National I.D Card No. ____________________________________________________________ Fathers Name in English _________________________________________________________ (Block Letters) Male or Female _______________ 6. Religion __________ 7. Nationality ________________ Fee Paid Rs. _________________ Bank Challan No. _______________ Dated _____________ Habib Bank Ltd. Branch _________________________________ City / Town opted for the Examination Centre ________________________ Names of compulsory / optional papers in which to appear. Compulsory / Optional Papers _________________________________ ii). ________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ iv). vi). viii). x). xii).
st

________________________________ ________________________________ ________________________________ ________________________________ ________________________________


nd

The year of passing F.Sc. or equivalent Examination 1 or 2

Annual______________________
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Roll No. _____________ Name of the Board _________________________________________ Information about Latest Passed Exam: The year of passing Pharm-D. ___________ Professional, 1 /2 Annual Examination 20 ___ Roll No. _________marks obtained __________ (Only for 2 , 3 , 4 , 5 Professional candidate) 13. FOR EXEMPTION / COMPARTMENT CANDIDATES WHO HAVE ALREADY APPEARED IN PHARM-D EXAMINATION AND FAILED. Year of appearing in Pharm D __________. Professional _____ 1 /2 Annual Examination ________ under No. ____________ and eligible to reappear in Paper/s. 1. 3. 5. 7. ________________________________ ________________________________ ________________________________ ________________________________ 2. 4. 6. 8. _______________________________ _______________________________ _______________________________ _______________________________
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Roll

Declaration: - I hereby declare that:- 1) All the particulars mentioned above are correct and that in case of any difficulty arising out of inaccuracy therein, I shall be responsible for the consequences. 2. I shall not take part in walkout or protest in any paper during Examination. 3. I have read the instructions carefully given at the back of this page & Roll No. Slip and shall abide by them.

Signature of the Candidate Permanent Home Address _____________________________ _____________________________ _____________________________ Full Present Address ________________________________ ________________________________ ________________________________ Price: - 30 Rupees

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IMPORTANT INSTRUCTIONS
1. The candidate is directed to read instructions hereunder before filling in the Admission and Fee Receipt Forms carefully. The Admission Form will be liable to be rejected if correct Registered No. is not mentioned or incomplete or incorrect entry is made in the Form. The incomplete Admission Form shall be rejected and returned forthwith. The University shall not take any responsibility for the consequences. 2. Each candidate (Male / Female) must paste latest passport size Photographs, duly attested at the specified places in the Admission Form. 3. The Examination begins on the date/s given in the Date Sheet. Every candidate must keep his / her National Identification Card with him / her in the Examination Hall while taking the Examination. 4. The Admission Form will be entertained only if the attested photocopy of the Registration Card, issued by the University, is attached with the Form alongwith other documents. 5. The candidates must attach attested copies of latest pass result card and Computerized National Identity Card. The compartment/ failed as a whole candidates must attach attested copy of latest fail result card and Computerized National Identity Card.

CERTIFICATE FOR REGULAR STUDENTS


Certified that the applicant has fulfilled the conditions laid down under the statutes enforced in the year of Examination and that: a) The student concerned has been on the rolls of the College during the academic year immediately preceding the Examination. b) He has attended, not less than two third of the total number of lectures delivered to his class in each paper, separately in theory and practical, during the academic year immediately preceding the Examination. c) His performance, as judged through class tests, assignments etc. has been satisfactory. d) His / Her character and conduct have been good. e) He / She has, passed F.Sc/ previous professional exams in accordance with the prescribed Regulations. f) He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him / her on the reverse are correct and nothing has been concealed.

CERTIFICATE FOR LATE COLLEGE STUDENTS


a) The late College student concerned was on the rolls of the College during the academic year_____. b) He / She attended, not less than two third of the total number of lectures delivered to his class, in each paper, separately in theory and practical during the academic year ___________________. c) His / Her performance as a regular student judged through class tests, assignments etc., was satisfactory. d) His / Her character and conduct have been good. e) He / She has passed F.Sc /previous professional exam in accordance with the prescribed Regulations. f) He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him / her on the reverse are correct and nothing has been concealed.

FOR THE LATE COLLEGE CANDIDATE PLACED UNDER COMPARTMENT / EXEMPTION


He / She appeared in Pharm-D. _______ Prof. 1 /2 Annual Examination 200 ____ under Roll No. ___________ and was placed in compartment or earned exemption and is eligible to reappear in the following paper/s. ____________________________________________________________________________ ___________________________________________________________________________________
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Signature of the Principal Stamp of the Principal Dated _______________

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UNIVERSITY OF SARGODHA
FEE RECEIPT FORM
Mention Professional _______________ Mention First Annual or Second Annual Examination 20 ____.

Form No. Online Downloaded

PHARM-D (5-YEARS Course) (Annual System) Roll No. _________


(To be filled in by the office)

IMPORTANT INSTRUCTIONS 1. The candidate is directed to fill in the Admission and Fee Receipt Forms carefully. Incomplete forms shall be rejected and returned forthwith. The Forms will be considered to have reached the University Office when these are received complete in all respects. In all other cases, late fee/double fee will be charged accordingly. 2. The fee is payable through the prescribed Branches of Habib Bank Ltd. on the Challan prescribed for the University of Sargodha. Money Orders, Postal Orders, Bank Drafts and cheques shall not be accepted. 1. 2. 3. 5. Name of the Candidate in English __________________________________________________ (Block Letters) Fathers Name in English _________________________________________________________ Registration No. ______________________ FOR EXEMPTION / COMPARTMENT CANDIDATE WHO HAVE ALREADY APPEARED IN Pharm-D. ____ PROFESSIONAL EXAMINATION AND FAILED. Year of appearing in Pharm-D. _____ Prof. 1 /2 Annual ______ Examination under Roll No. ______ . 6. Fee paid Rs. ______________ Bank Challan no. ______________ Dated __________________ Name of Bank and Branch ________________________________________
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NOTE: - ORIGINAL RECEIPT OF BANK CHALLAN MUST BE PASTED ON THE BACKSIDE OF THIS FORM
I hereby declare that all the particulars mentioned above are correct and that in case of any difficulty arising out of inaccuracy therein, I shall be responsible for the consequences.

Signature of the Candidate Dated _________________ Full Present Address ________________________________ ________________________________ ________________________________

Signature of the Principal Name & Address of the Candidate _________________________________ _________________________________ _________________________________

Stamp of the Principal Name & Address of the Candidate _____________________________________ _____________________________________ _____________________________________

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TO BE FILLED IN BY THE CANDIDATE


Actual Amount due Rs. Examination Fee Pharm-D Double the ordinary Fee Amount Received Rs. Receipt No. and date Amount still due Rs.

Reference made by office to the defaulter:Letter No. ______________________________________ Dated _________________ 1. 2. Reminder No. _____________________________ Dated _________________ Reminder ________________________________ Dated __________________ (FEE CHALLAN SHOULD BE PASTED HERE)

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Habib Bank Limited


Branch ___________________

Habib Bank Limited

Habib Bank Limited

Habib Bank Limited


Branch ___________________

7
Branch ___________________ Branch ___________________

Examination Fee Challan No. Online downloaded Dated: _________

Examination Fee Challan No. Online downloaded Dated: _________

Examination Fee Challan No. Online downloaded Dated: _________

Examination Fee Challan No. Online downloaded Dated: _________

Credit: University of Sargodha Collection Account No. 3788-96 Name in Block Letters _____________________________ Father's Name ___________________________________ Examination ___________________1 / 2 Annual 20___ Rupees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Total Rs. in words _____________________________________ _______________________________________________ Note: Challan Colllection Fee Rs. 10/Online downloaded challan form. www.uos.edu.pk Officer Cashier FA / FSc BA / BSc / BSA MA / MSc / MCS LAW / MBA Pharmacy Sports Fee Migration / NOC Fee Diploma Examination Fee Registration / Enrollment Fee Degree Fee College Insp. Fee Out of Jurisdiction Fee Late Fee Bank challan Collection Charges Any Other (give detail)
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Credit: University of Sargodha Collection Account No. 3788-96 Name in Block Letters _____________________________ Father's Name ___________________________________ Examination ___________________1 / 2 Annual 20___ Rupees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Total Rs. in words _____________________________________ _______________________________________________ Note: Challan Colllection Fee Rs. 10/Online downloaded challan form. www.uos.edu.pk Officer Cashier FA / FSc BA / BSc / BSA MA / MSc / MCS LAW / MBA Pharmacy Sports Fee Migration / NOC Fee Diploma Examination Fee Registration / Enrollment Fee Degree Fee College Insp. Fee Out of Jurisdiction Fee Late Fee Bank challan Collection Charges Any Other (give detail)
st nd

Credit: University of Sargodha Collection Account No. 3788-96 Name in Block Letters _____________________________ Father's Name ___________________________________ Examination ___________________1 / 2 Annual 20___ Rupees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Total Rs. in words _____________________________________ _______________________________________________ Note: Challan Colllection Fee Rs. 10/Online downloaded challan form. www.uos.edu.pk Officer Cashier FA / FSc BA / BSc / BSA MA / MSc / MCS LAW / MBA Pharmacy Sports Fee Migration / NOC Fee Diploma Examination Fee Registration / Enrollment Fee Degree Fee College Insp. Fee Out of Jurisdiction Fee Late Fee Bank challan Collection Charges Any Other (give detail)
st nd

Credit: University of Sargodha Collection Account No. 3788-96 Name in Block Letters _____________________________ Father's Name ___________________________________ Examination ___________________1st / 2nd Annual 20___ Rupees 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Total Rs. in words _____________________________________ _______________________________________________ Note: Challan Colllection Fee Rs. 10/Online downloaded challan form. www.uos.edu.pk Officer Cashier FA / FSc BA / BSc / BSA MA / MSc / MCS LAW / MBA Pharmacy Sports Fee Migration / NOC Fee Diploma Examination Fee Registration / Enrollment Fee Degree Fee College Insp. Fee Out of Jurisdiction Fee Late Fee Bank challan Collection Charges Any Other (give detail)

www.uos.edu.pk Online downloaded

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